Individual
MRS. MARY ELIZABETH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5319 EEL RIVER CT, NORTH LAS VEGAS, NV 89031-3504
(702) 994-1459
Mailing address
5319 EEL RIVER CT, NORTH LAS VEGAS, NV 89031-3504
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
283037
NV
2471M2300X
Mammography Radiologic Technologist
283037
NV
2471S1302X
Sonography Radiologic Technologist
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Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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